Validation of a novel irritant gas syndrome triage algorithm

Authors

  • Joan M. Culley, PhD, MPH, RN, CWOCN, FAAN
  • Sara Donevant, PhD(c), MSN, RN, CCRN
  • Jean Craig, PhD, MS, BS
  • Jane Richter, DrPH, MSN, MA, RN
  • Abbas S. Tavakoli, DrPH, MPH, ME
  • Erik Svendsen, PhD
  • Salvatore DiNardi, PhD, CIH, FAIHA

DOI:

https://doi.org/10.5055/ajdm.2018.0284

Keywords:

triage, chemical triage algorithm, methods for disaster research

Abstract

Objective: Our objective was to validate a novel irritant gas syndrome agent (IGSA) triage algorithm for use in an emergency department (ED). We assessed efficiency, accuracy, and precision of our IGSA triage algorithm based on signs/symptoms of actual patients.

Design: After characterizing the signs/symptoms of an actual IGSA exposure event, we developed and validated the IGSA triage algorithm using a simulated computer exercise to compare the IGSA triage algorithm to the preferred hospital triage algorithm, the Emergency Severity Index (ESI).

Setting: This study was a simulated computer exercise using surveys developed in Research Electronic Data Capture software. Nurse volunteers simulated triaging 298 patients.

Participants: Patient data included 146 patients treated during the disaster as well as 152 unexposed patients. Twenty-six nurse volunteers were assigned to triage the patients using one of the algorithms in the simulated computer exercise.

Main Outcome Measure(s): The precision of the IGSA triage algorithm was 0.82 (confidence interval [CI] 0.78-0.85) and ESI 0.73 (CI 0.69-0.77). Weighted κ for ESI and IGSA accuracy for exposed patients was 0.32 (95% CI 0.26-0.37) and 0.81 (95% CI 0.77-0.85), respectively.

Results: The IGSA triage algorithm was more accurate and precise than the ESI algorithm for triaging patients exposed to an irritant gas.

Conclusions: This study validates the IGSA triage algorithm as the basis for the development of a prototype software application to quickly identify victims of a chemical disaster and triage patients efficiently and accurately with the potential to dramatically improve the processing of patients in EDs.

Author Biographies

Joan M. Culley, PhD, MPH, RN, CWOCN, FAAN

Associate Professor, College of Nursing, University of South Carolina, Columbia, South Carolina

Sara Donevant, PhD(c), MSN, RN, CCRN

College of Nursing, University of South Carolina, Columbia, South Carolina

Jean Craig, PhD, MS, BS

Database Architect, Honest Broker, Office of Biomedical Informatics Center, Medical University of South Carolina, Charleston, South Carolina

Jane Richter, DrPH, MSN, MA, RN

College of Nursing, University of South Carolina, Columbia, South Carolina

Abbas S. Tavakoli, DrPH, MPH, ME

College of Nursing, University of South Carolina, Columbia, South Carolina

Erik Svendsen, PhD

Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina

Salvatore DiNardi, PhD, CIH, FAIHA

College of Nursing, University of South Carolina, Columbia, South Carolina

References

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Published

01/01/2018

How to Cite

Culley, PhD, MPH, RN, CWOCN, FAAN, J. M., S. Donevant, PhD(c), MSN, RN, CCRN, J. Craig, PhD, MS, BS, J. Richter, DrPH, MSN, MA, RN, A. S. Tavakoli, DrPH, MPH, ME, E. Svendsen, PhD, and S. DiNardi, PhD, CIH, FAIHA. “Validation of a Novel Irritant Gas Syndrome Triage Algorithm”. American Journal of Disaster Medicine, vol. 13, no. 1, Jan. 2018, pp. 13-26, doi:10.5055/ajdm.2018.0284.

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